Displaying 41 - 60 of 674
Contract Number Brand Code Drug LAgent Code Drug Contract Start Date Drug Contract End Date Formulary Category Package Size Protocol Monthly Max Package Price Contract Changed Change Date
41 0153DH AMOXICILLIN 500MG TAB (MCP) AHI 2024-04-01 2024-12-27 A 10X10 28 10.03 2023-10-30
41 0153DH AMOXICILLIN 500MG TAB (MCP) AHI 2024-12-28 2026-03-31 A 10X10 28 11.4 2024-12-27
40 7726CK AMOXICILLIN | CLAVULANIC ACID 1G | 0.2G INJ (CHC/ATB) ATB 2022-04-01 2024-03-31 B 1.2G VIAL 0 3.23 Price Change 2021-12-03
40 7722BV AMOXICILLIN | CLAVULANIC ACID 875MG | 125MG TAB (KWA/ATB) ATB 2022-04-01 2022-09-30 B 2X10 14 7.75 2022-03-30
41 7722CP AMOXICILLIN|CLAVULANIC ACID 875MG|125MG TAB (MCP) (B) AHI 2024-12-28 2026-03-31 B 2X10 21 8.09 2024-12-27
40 0164AU AMPICILLIN 500MG INJ (CHC/ATB) ATB 2022-04-01 2024-03-31 BQ 500MG VIAL 0 0.82 Price Change 2021-12-03
40 0164AM AMPICILLIN 500MG INJ (KWA/ATB) ATB 2022-04-01 2022-09-30 BQ 500MG VIAL 0 0.90 2022-03-30
41 B5012 ANORO ELLIPTA 55MCG|22MCG INHR (GSK) UMECLIDINIUM|VILANTEROL (BQ) COL 2024-04-01 2024-07-16 BQ 30 DOSES 1 108.68 2024-07-16
41 B5012 ANORO ELLIPTA 55MCG|22MCG INHR (GSK) UMECLIDINIUM|VILANTEROL (BQ) COL 2024-07-17 2026-03-31 BQ 30 DOSES 1 163.94 2024-07-17
40 3921K ANTIPLAR 75MG TAB (EMC/COL) CLOPIDOGREL COL 2022-05-31 2022-12-31 A 100'S 30 9.51 2022-05-31
40 7911AA APO-CYCLOBENZAPRINE 10MG TAB (APO/COL) COL 2022-04-01 2024-03-31 A 500'S 42 271.83 Package Size Change 2022-02-28
40 B011EG APO-LAMIVUDINE 150MG TAB (APO/COL) COL 2022-04-01 2024-03-31 B 60'S 83.02 Add to Contract as Cat B 2022-12-09
40 3621B APO-LEVOCARB 10MG | 100MG TAB (APO/COL) COL 2022-04-01 2024-03-31 A 100'S 240 17.26 Add to Contract as Cat A 2022-04-01
40 36227 APO-LEVOCARB 25MG | 250MG TAB (APO/COL) COL 2022-04-01 2024-03-31 A 100'S 240 27.18 Add to Contract as Cat A 2022-04-01
40 5842BP APO-LISINOPRIL 20MG TAB (APO/COL) COL 2022-05-23 2024-03-31 A 100'S 60 8.15 Add to Contract as Cat A 2022-05-23
40 5843DF APO-RAMIPRIL 2.5MG CAP (APO/COL) COL 2022-07-27 2024-03-31 A 3X10 30 2.15 Price Change 2022-07-26
40 5281BV APROCIN 0.3% EYE DR (ARP/AHI) CIPROFLOXACIN AHI 2022-04-01 2022-09-30 BH 10ML 0 8.15 2022-03-29
40 1421CF ARAMOL 500MG TAB (CAR/COL) PARACETAMOL COL 2022-06-30 2024-03-31 A 500'S 180 14.78 Add to Contract as Cat A 2022-06-30
40 A3939 AROFLO 125MCG | 25MCG INHR (ARP/AHI) FLUTICASON AHI 2022-04-01 2022-06-30 A 120 DOSES 1 21.67 2022-03-29
40 A396A AROFLO 250MCG | 25MCG INHR (ARP/AHI) FLUTICASON AHI 2022-04-01 2022-06-30 A 120 DOSES 1 32.27 2022-03-29